Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

PRAIRIE LAKES HEALTHCARE SYSTEM, INC

SD · Facility ID 430005 · FY2026

Total HAC Score

1.2749

Percentile

97.0th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 1.2750

Hospital score 1.2750. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Live result

Equal-weight mean of edited reported Z · threshold 0.3792(strict >) · simulated/illustrative

Simulated Total HAC

1.2750

Δ from file score

+0.0001

File 1.2749

Penalized (simulated)

Measure controls

Drag reported SIRs (PSI-90: Composite Value). Z updates live via the empirical map, clamped to each measure's floor/cap.

  • Composite Value 1.312Z file 2.260 → sim 2.260
    0.273.32
  • CLABSIUnreported

    Results are not available for this reporting period.

  • SIR 1.701Z file 2.386 → sim 2.386
    0.005.52

    No score impact — already at the measure cap.

  • SIR 0.872Z file 0.037 → sim 0.037
    0.004.79
  • SIR 0.485Z file 0.416 → sim 0.416
    0.003.32
  • MRSAUnreported

    Results are not available for this reporting period.

Solver

Smallest change to clear (or cushion before crossing) the 0.3792 threshold — holding other measures fixed. Simulated/illustrative.

Insufficient data to score — solver unavailable.